A Case of Sciatica During Labor Due to an Occiput Posterior Fetus

A 28-year-old term G3P0020 received an epidural with complete pain relief. Approximately 19 hours after the epidural placement, the pain increased. Sensory levels were rechecked and were bilateral and adequate at T8. Further discussion revealed that the pain was unrelated to her contractions; it was...

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Detalles Bibliográficos
Autores principales: Wasson, Cassandra, Chon, Telianne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2018
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5856416/
https://www.ncbi.nlm.nih.gov/pubmed/29560295
http://dx.doi.org/10.7759/cureus.2082
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author Wasson, Cassandra
Chon, Telianne
author_facet Wasson, Cassandra
Chon, Telianne
author_sort Wasson, Cassandra
collection PubMed
description A 28-year-old term G3P0020 received an epidural with complete pain relief. Approximately 19 hours after the epidural placement, the pain increased. Sensory levels were rechecked and were bilateral and adequate at T8. Further discussion revealed that the pain was unrelated to her contractions; it was in her buttocks and radiating down the leg. The possibility of the fetus being positioned occiput posterior (OP) was discussed. The patient was placed into knee-chest position with instantaneous relief of her pain. This is the only known case report of epidural breakthrough pain due to an OP fetal malposition with successful intra-partum pain management solely by position change.
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spelling pubmed-58564162018-03-20 A Case of Sciatica During Labor Due to an Occiput Posterior Fetus Wasson, Cassandra Chon, Telianne Cureus Anesthesiology A 28-year-old term G3P0020 received an epidural with complete pain relief. Approximately 19 hours after the epidural placement, the pain increased. Sensory levels were rechecked and were bilateral and adequate at T8. Further discussion revealed that the pain was unrelated to her contractions; it was in her buttocks and radiating down the leg. The possibility of the fetus being positioned occiput posterior (OP) was discussed. The patient was placed into knee-chest position with instantaneous relief of her pain. This is the only known case report of epidural breakthrough pain due to an OP fetal malposition with successful intra-partum pain management solely by position change. Cureus 2018-01-17 /pmc/articles/PMC5856416/ /pubmed/29560295 http://dx.doi.org/10.7759/cureus.2082 Text en Copyright © 2018, Wasson et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Wasson, Cassandra
Chon, Telianne
A Case of Sciatica During Labor Due to an Occiput Posterior Fetus
title A Case of Sciatica During Labor Due to an Occiput Posterior Fetus
title_full A Case of Sciatica During Labor Due to an Occiput Posterior Fetus
title_fullStr A Case of Sciatica During Labor Due to an Occiput Posterior Fetus
title_full_unstemmed A Case of Sciatica During Labor Due to an Occiput Posterior Fetus
title_short A Case of Sciatica During Labor Due to an Occiput Posterior Fetus
title_sort case of sciatica during labor due to an occiput posterior fetus
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5856416/
https://www.ncbi.nlm.nih.gov/pubmed/29560295
http://dx.doi.org/10.7759/cureus.2082
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